Professional Summary

Please use this form if you are interested in becoming a team member with Shore Nurses. If you are interested in employment, you can learn more in our Employment section.

Required information is marked by an asterisk (*)

First Name: *

Last Name: *

E-mail: *

Primary Phone:

Address:

City*, State* Zip: *

Level of Professional Practice:

What certifications do you currently hold?:
IV Certification
CPR
ACLS
BLS/CPR
Certified Dementia Practitioner

How comfortable are you working in the following areas?:

Sub-acute Care
Very Comfortable
Somewhat Comfortable
Not Comfortable
Long Term Care
Very Comfortable
Somewhat Comfortable
Not Comfortable
Alzheimer's Care
Very Comfortable
Somewhat Comfortable
Not Comfortable
Assisted Living
Very Comfortable
Somewhat Comfortable
Not Comfortable

What distance are you willing to drive to accept a work assignment?:
5 miles or less
6 to 10 miles
10 to 20 miles
over 20 miles

How did you hear about Shore Nurses?:

Message:

Comments: